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女性盆底医学与重建外科组织工程面临的挑战与未来展望

Challenges and future prospects for tissue engineering in female pelvic medicine and reconstructive surgery.

作者信息

Chen Bertha, Dave Bhumy

机构信息

Department of Ob/Gyn, Stanford University Medical Center, 300 Pasteur Dr. HH-333, Stanford, CA, 94305, USA,

出版信息

Curr Urol Rep. 2014 Aug;15(8):425. doi: 10.1007/s11934-014-0425-2.

DOI:10.1007/s11934-014-0425-2
PMID:24993035
Abstract

With advances in material engineering there is now a wide array of new materials for augmentation of tissue repairs in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). However, clinical outcomes are discrepant and long term complications debilitating. In this manuscript, we describe the molecular and cellular host environments and biomechanical considerations that affect optimal integration of implant materials. There is growing interest in biodegradable scaffolds with cellular implants. It is thought that the cellular component could regenerate host tissue while the scaffold provides temporary mechanical properties. Current findings are promising, but detailed in vivo and long term testing is needed before clinical applications.

摘要

随着材料工程的进步,现在有各种各样的新材料可用于女性盆腔医学与重建手术(FPMRS)中的组织修复增强。然而,临床结果存在差异,长期并发症令人衰弱。在本手稿中,我们描述了影响植入材料最佳整合的分子和细胞宿主环境以及生物力学因素。对带有细胞植入物的可生物降解支架的兴趣与日俱增。人们认为细胞成分可以再生宿主组织,而支架提供临时的机械性能。目前的研究结果很有前景,但在临床应用之前还需要进行详细的体内和长期测试。

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本文引用的文献

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Magnetic resonance imaging of the pelvic floor: from clinical to biomechanical imaging.盆底的磁共振成像:从临床成像到生物力学成像
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Developing a tissue engineered repair material for treatment of stress urinary incontinence and pelvic organ prolapse-which cell source?
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Fibroblasts from women with pelvic organ prolapse show differential mechanoresponses depending on surface substrates.盆腔器官脱垂女性的成纤维细胞根据表面基质表现出不同的机械反应。
Int Urogynecol J. 2013 Sep;24(9):1567-75. doi: 10.1007/s00192-013-2069-z. Epub 2013 Apr 12.
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BJOG. 2013 Jan;120(2):233-243. doi: 10.1111/1471-0528.12085.
8
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BJOG. 2013 Jan;120(2):224-232. doi: 10.1111/1471-0528.12077.
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Biomechanical properties and associated collagen composition in vaginal tissue of women with pelvic organ prolapse.盆腔器官脱垂女性阴道组织的生物力学特性及相关胶原组成。
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Urethral injury with transobturator midurethral sling.经闭孔尿道中段吊带术所致尿道损伤
Female Pelvic Med Reconstr Surg. 2012 Mar-Apr;18(2):132-3. doi: 10.1097/SPV.0b013e31824824ff.